Individual provider Active NPI

David Matthew Ehrhard, D.C.

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1417903873
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4579 Issued in KY
Practice address
655 S Roy Wilkins Ave
Louisville, KY 40203-2072
Phone
(502) 561-1888
Fax
(502) 581-0061
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4579 KY Primary

Addresses

Primary practice location

655 S Roy Wilkins Ave
Louisville, KY 40203-2072

Mailing address

655 Roy Wilkins Ave
Louisville, KY 40203-2072
Phone (502) 775-2273

Other identifiers 1

IdentifierTypeStateIssuer
85001618MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308001236 KY Practitioner - Chiropractic 1658269907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

655 S Roy Wilkins Ave
Louisville, KY 40203-2072
Phone (502) 561-1888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4579KYMDDentist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1417903873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 ROY WILKINS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032072",
            "telephone_number": "502-775-2273",
            "fax_number": "502-775-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S ROY WILKINS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032072",
            "telephone_number": "502-561-1888",
            "fax_number": "502-581-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRHARD",
        "first_name": "DAVID",
        "middle_name": "MATTHEW",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001618",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.